Active NPI
Rudraben P Patel
- Pharmacy Technician
- Clarksville, TN
National Provider Identifier
1063937977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0000060094
- Practice address
- 1051 S Riverside Dr
Clarksville, TN 37040-4303 - Phone
- (931) 645-2494
- Fax
- (931) 919-1218
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0000060094 | TN | Primary |
Addresses
Primary practice location
1051 S Riverside Dr
Clarksville, TN 37040-4303
Mailing address
135 Westfield CT Apt 504
Clarksville, TN 37040-5077
Phone (931) 261-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000060094 | TN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502409600000",
"number": "1063937977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WESTFIELD CT APT 504",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405077",
"telephone_number": "931-261-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 S RIVERSIDE DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370404303",
"telephone_number": "931-645-2494",
"fax_number": "931-919-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RUDRABEN",
"middle_name": "P",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2017-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TN",
"license": "0000060094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.